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Over at The Health Care Blog Dr. Robert Wachter is very articulate, at times blunt, and in the end utterly convincing of its benefits concerning a project at UCSF wherein a hospitalist team co-manages certain complicated neurosurgical patients.

I think there’s more than great promise for this, I think it’s approaching the norm in vertically integrated health systems and in some academic environments and even out in the wider private world. Certainly there’s some of this going on in my faculty’s private practice, maybe not to degree Dr. Wachter describes. And there was a well established relationship where my fiancee was training before she transferred to be with me.

Certainly it’s something I would think any future neurosurgeon would be interested in.

One Response to “Comanagment”

Hold the horses. Comanagement only happens when a comanagment is needed. The days of consulting the hospitalist to take your pages, and do your discharge summaries are going to be ending very soon. There is something called the global fee and it includes a discharge summary. It is ILLEGAL for hospitalists to bill for a discharge summary when it falls under the surgeons global fee. Furthermore, it’s also illegal NOT to bill for a service, so there isn’t a legal way to do this. Whatsmore, there is something called the STARK law which also makes most of what is being done in many hospitals not only wrong ethically for the patient but also just plain illegal. Wachter is a bone head who thinks being a surgeon’s whore is the way to legitimize the specialty of hospital medicine. He’s another ivory hospital know-it-all who actually knows very little at all about how to treat a fledgeling specialty (hospital medicine). If you would like to get a more indepth look at what you’re about to come up against, please check out my site! http://www.sickhospital.com. It talks all about this sort of thing.